ClinicalTrials.gg
WithdrawnNCT04274166Updated May 28, 2021

Secukinumab for the Inflammatory Phase of Pyoderma Gangrenosum

A Phase 2 interventional study of secukinumab 150 mg (2 injections per dose in Pyoderma Gangrenosum, sponsored by Wake Forest University Health Sciences. Withdrawn. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-05-28.

Sponsored by Wake Forest University Health Sciences · Phase 2, Interventional, and Treatment

Why this study was withdrawn
Contracting never completed, closed the IRB
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this research study is to find out what effects (good and bad) secukinumab has on the subject and their pyoderma gangrenosum.

Secukinumab is a type of medicine called human monoclonal antibodies. Monoclonal antibodies are proteins that recognize and attach to other specific proteins (in this case, immune system hormones called "cytokines") that your body produces. The cytokine (a "messenger" protein in the body) that secukinumab binds to and reduces the activity of is a naturally occurring cytokine called interleukin-17A (IL-17A). IL-17A is believed to be partly responsible for inflammation (pain, swelling, redness), and researchers believe that IL-17A may cause symptoms PG.

Read the detailed description

This is a prospective, single center, Phase IIa study of secukinumab in the treatment of subjects diagnosed with PG. Subjects will be evaluated at Screening, Baseline (week 0), Week 1, Week 2, Week 3, Week 4, and then every 4 weeks for 24 weeks. The total duration of treatment is up to 20 weeks. Subjects may be treated for shorter durations if the lesions clear prior to week 20. Subjects will have a follow-up visit at 24 weeks, or 4 weeks after the last dose of study drug. Subjects will also have standard of care wound dressings done at each visit. Subjects will be given 300 mg of secukinumab SQ at week 0, 1, 2, 3, and 4, followed by injections every 4 weeks, for up to 20 weeks. Subjects may receive a dose increase at week 16 (if there is not at least a 25% reduction in target lesion size) to 300 mg every 2 weeks.

  • Complete Blood Count (CBC), Comprehensive Metabolic panel (CMP), C- reactive protein (CRP), Erythrocyte sedimentation rate (ESR), Hepatitis panel, HIV test, Pregnancy test, and QuantiFERON gold TB test will be performed at screening. (Appendix 6)
  • CBC, CMP, CRP, ESR will be performed at week 8 and week 20.
  • Pain rating by Likert scale (A 10-point scale to rate the level of pain - Appendix 2), an Investigator Global Assessment (IGA) (Appendix 3), Subject Global Assessment (SGA) (Appendix 3), and Ulcer Lesion Assessment (Appendix 5) will be done at Screening, Baseline, and at Weeks 2, 4, 8, 12, 16, 20, and 24.
  • Lesion photography will be done at Screening and all visits.
  • Infection and adverse event assessments and concomitant medication assessments will be performed at each visit.
  • Quality of life will be measured with the Dermatology Life Quality Index (DLQI) at Baseline and Week 20 (Appendix 4).
02

Conditions studied

  • Pyoderma Gangrenosum

Browse trials for

03

In context

Pyoderma Gangrenosum

36 studies on the registry are indexed under Pyoderma Gangrenosum; 7 are open to participants now.

Browse Pyoderma Gangrenosum studies →

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,351 studies on the registry; 201 are open to participants now.

Of its 332 completed or terminated interventional studies of FDA-regulated products, 251 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Must give written . 2. Has a diagnosis of pyoderma gangrenosum, as determined by the investigator based on the following diagnostic criteria4:

a. Diagnosis requires both major criteria and at least two minor criteria i. Major criteria

  1. Rapid progression of a painful, necrolytic cutaneous ulcer with an irregular, violaceous, and undermined border
  2. Other causes of cutaneous ulceration have been excluded ii. Minor criteria
  1. History suggestive of pathergy or clinical finding of cribriform scarring 2. Systemic diseases associated with PG 3. Histopathologic findings (sterile dermal neutrophilia, ± mixed inflammation, ± lymphocytic vasculitis) 4. Treatment response (rapid response to systemic treatment)
  1. PG global assessment of moderate to severe, with at least one ulcer measuring at least 3 cm in diameter.
  1. 18 years of age or greater. 5. Must require systemic therapy for their pyoderma gangrenosum, as determined by the investigator prior to Baseline. Currently prescribed low-dose corticosteroids (≤ 10 mg/day), and other medications within one week prior to drug administration, may be continued with no change in dose or frequency during the study.

Exclusion criteria

Exclusion Criteria:

  1. Female subjects who are not for at least 1 year, surgically sterile, or willing to practice effective during the study. Nursing mothers, pregnant women and women planning to become pregnant while on study are to be excluded.
  2. Current enrollment in any study in which the subject is receiving any type of drug, biologic, or non-drug therapy (participation in registry-type studies is allowed).
  3. Serious local infection (e.g., cellulitis, abscess) or systemic infection (e.g., pneumonia, septicemia) within the 3 months prior to the first dose of investigational drug.
  4. Treatment with another investigational drug or approved therapy for investigational use within 28 days prior to investigational drug administration.
  5. Treatment with high dose (>10 mg/day) systemic (prednisone) within one week prior to investigational drug administration. Treatment with cyclosporine, thalidomide, methotrexate, mycophenolate mofetil, azathioprine, or other systemic agents within the 14 days prior to investigational drug administration (requirement of a 2-week washout).
  6. Known +, known viral hepatitis infection, known tuberculosis infection.
  7. Any subject with a current or history of a in the last five years (excluding treated basal cell carcinoma).
  8. abnormal laboratory measures at screening.
  9. Known Irritable Bowel Disease-associated PG
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Experimental

    2 s.c. secukinumab 150 mg injections

    Drug: secukinumab 150 mg (2 injections per dose

Interventions

06

What researchers measure

Primary outcomes

  1. Efficacy - Investigator Global Assessment (IGA)

    Investigator Global Assessment (IGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Screening visit

  2. Efficacy - Investigator Global Assessment (IGA)

    Investigator Global Assessment (IGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Screening visit to Baseline visit.

  3. Efficacy - Investigator Global Assessment (IGA)

    Investigator Global Assessment (IGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Baseline visit to Week 2.

  4. Efficacy - Investigator Global Assessment (IGA)

    Investigator Global Assessment (IGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from week 2 to week 4.

  5. Efficacy - Investigator Global Assessment (IGA)

    Investigator Global Assessment (IGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Week 4 to week 8.

  6. Efficacy - Investigator Global Assessment (IGA)

    Investigator Global Assessment (IGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Week 8 to week 12.

  7. Efficacy - Investigator Global Assessment (IGA)

    Investigator Global Assessment (IGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Week 12 to week 16.

  8. Efficacy - Investigator Global Assessment (IGA)

    Investigator Global Assessment (IGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Week 16 to week 20.

  9. Efficacy - Investigator Global Assessment (IGA)

    Investigator Global Assessment (IGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Week 20 to week 24.

  10. Efficacy - Subject Global Assessment (SGA)

    Subject Global Assessment (SGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Baseline.

  11. Efficacy - Subject Global Assessment (SGA)

    Subject Global Assessment (SGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Baseline to week 2.

  12. Efficacy - Subject Global Assessment (SGA)

    Subject Global Assessment (SGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Week 2 to Week 4.

  13. Efficacy - Subject Global Assessment (SGA)

    Subject Global Assessment (SGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Week 4 to Week 8. .

  14. Efficacy - Subject Global Assessment (SGA)

    Subject Global Assessment (SGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Week 8 to Week 12.

  15. Efficacy - Subject Global Assessment (SGA)

    Subject Global Assessment (SGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Week 12 to Week 16.

  16. Efficacy - Subject Global Assessment (SGA)

    Subject Global Assessment (SGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Week 16 to Week 20.

  17. Efficacy - Subject Global Assessment (SGA)

    Subject Global Assessment (SGA) as measured by a 7 point scale anchored by 'Completely Clear" and "Worse"

    Time frame: Change from Week 20 to Week 24.

  18. Efficacy - Ulcer Lesion Assessment PG Target Lesion

    Number of subjects achieving 50% improvement in PG lesion size

    Time frame: Change from Screening visit, Baseline, and at Weeks 2, 4, 8, 12, 16, 20, and 24.

  19. Efficacy - Ulcer Lesion Assessment PG Target Lesion

    Number of subjects achieving resolution of inflammation with an erythema score of 0 and a border elevation of 0 on five point scales of none to very severe

    Time frame: Change from Screening visit, Baseline, and at Weeks 2, 4, 8, 12, 16, 20, and 24.

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for May 2021; primary completion for Dec 2021, 7 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 12, 2020
First posted
Feb 18, 2020
StartEst.
May 2021
Primary completionEst.
Dec 2021
CompletionEst.
Apr 2022
Last update
May 28, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 28, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04274166
Collaborators
Novartis
Responsible party
Sponsor
First posted
Feb 18, 2020
Start date
May 2021 (estimated)
Primary completion
Dec 2021 (estimated)
Completion
Apr 2022 (estimated)
Last update
May 28, 2021

Study contacts

William W Huang, MD. MPH
principal investigator · Wake Forest University Health Sciences

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Secukinumab

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